When fluid accumulates behind the retina, it causes central serous chorioretinopathy. Vision may be affected by this. The choroid, a tissue layer behind the retina, is where the fluid leaks out. The retinal pigment epithelium (RPE) is the name of the layer of cells between the retina and the choroid. When the RPE does not function properly, fluid collects behind the retina or the RPE, causing a little detachment and visual distortion.
One eye at a time is often afflicted by central serous chorioretinopathy, but both eyes may be damaged simultaneously.
Central vision that is distorted, dimmed, or blurred, a dark area in your central vision, straight lines that appear bent, crooked, or irregular in your affected eye, objects that appear smaller or farther away than they actually are, and white objects that appear to have a brownish tinge or appear duller in colour are all signs of central serous chorioretinopathy.
Central serous chorioretinopathy is more common in men in their 30s to 50s than in women. A significant risk factor is stress. Central serous chorioretinopathy may be more common in people who experience high levels of stress.
The use of steroids (by mouth, vein, or even inhalation), Helicobacter pylori infection (a type of bacteria that can infect the stomach), autoimmune disease (when the body attacks its own tissues), sleep disturbances like insomnia or sleep apnea (when breathing is interrupted while sleeping), type A behaviour (aggressive and competitive behaviour), and hypertension (high blood pressure) are additional risk factors for central serous chorioretinopathy.
To examine your retina, an ophthalmologist will dilate (widen) your eye with dilating eye drops.
After that, they will take unique pictures of your eye and might even do a fluorescein angiography. A dye is injected into an arm vein during fluorescein angiography. Your eyes and the rest of your body are exposed to the dye. As the dye travels through the blood vessels in the retina, the doctor takes pictures of your eye. The orange dye will make aberrant eye tissue visible. By doing so, regions with central serous chorioretinopathy may be found.
Your doctor can examine the retina with the aid of optical coherence tomography (OCT). The retina is captured in great detail in three dimensions by a scanner that scans the back of the eye. This aids in determining retinal edoema and measuring retinal thickness.
The majority of central serous chorioretinopathy cases resolve on their own in one to two months. Your ophthalmologist will examine your eye during this period to determine whether the liquid is dissipating. Sometimes the leaking persists or there is a serious loss of eyesight. In these circumstances, oral medicines, photodynamic therapy, or laser therapy may be employed. These procedures can stop the leak and bring back vision.
With or without treatment, the majority of persons with central serous chorioretinopathy regain good eyesight. However, vision might not be as good as it was prior to the disease. The central serous chorioretinopathy will recur in about 50% of cases. Regular follow-up checkups with your ophthalmologist are crucial. This is because long-term fluid accumulation can lead to permanent vision loss.
At The Eye Center- Dr. Mahnaz Naveed Shah & Associates our team of eight ophthalmology subspecialists/ eye specialists, eye surgeons who are considered amongst the very best eye specialists in Karachi and in Pakistan, have the diagnostic and treatment capabilities to treat from the simplest to the most complex patients. We work hard to provide our patients with the best possible medical and surgical eye care, in a state of the art purpose built eye care facility. We offer the entire array of medical, laser and surgical treatments to help provide patients the best possible care in the most efficient, safe and ethical manner. Your trust and your comfort is extremely important to us and we assure you of diligence and expertise in the medical care of you and your loved ones.
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